Individual provider Active NPI

Annabella Zizzi-Flamm

  • Physical Therapist
  • Gallatin, TN
National Provider Identifier
1275148157
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12955 Issued in TN
Practice address
143 E Prince St
Gallatin, TN 37066-2880
Phone
(615) 334-6983
Fax
(615) 581-0245
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12955 TN Primary

Addresses

Primary practice location

143 E Prince St
Gallatin, TN 37066-2880

Mailing address

143 E Prince St
Gallatin, TN 37066-2880
Phone (615) 334-6983

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12955TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fagan Geriatric Wellness and Rehabilitation Physical Therapist CurrentSince Apr 17, 2022 Accepting new patients
Star Physical Therapy LP Physical Therapist PastSince Sep 1, 2020 Accepting new patients
Star Physical Therapy LP PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1275148157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E PRINCE ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662880",
            "telephone_number": "615-334-6983",
            "fax_number": "615-581-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E PRINCE ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662880",
            "telephone_number": "615-334-6983",
            "fax_number": "615-581-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZZI-FLAMM",
        "first_name": "ANNABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.